Provider Demographics
NPI:1013136886
Name:DAD, LUQMAN K (MD)
Entity Type:Individual
Prefix:
First Name:LUQMAN
Middle Name:K
Last Name:DAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2002 MEDICAL PKWY
Mailing Address - Street 2:SUITE 235
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3046
Mailing Address - Country:US
Mailing Address - Phone:410-266-2770
Mailing Address - Fax:410-841-6251
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 235
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:410-266-2770
Practice Address - Fax:410-841-6251
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00723042085R0001X
NY3196642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1069-0035OtherBLUE CHOICE GROUP HOSPITALIZATION & MEDICAL SERVICES
MDK606ANOtherCAREFIRST PROVIDER NUMBER
MD3221121 00Medicaid
NY319664OtherNY MEDICAL LICENSE
MD8317071OtherAETNA PPO
MD221568ZDYCOtherMEDICARE - BCF PA - PTAN
MD600576-03OtherCAREFIRST OF MARYLAND - RENDERING NUMBER